This paper, Variability in Outcome After Elective Cerebral Aneurysm Repair in High-Volume Academic Medical Centers, is a follow up to research we blogged about in 2011: Q & A With Chairman Solomon: Aneurysm Therapy Today.
“The variability in outcome for aneurysm surgery at the 10 highest volume and most highly recognized medical centers in New York State is disturbing,” says Dr. Solomon. “The explanation for this finding is unknown, but the suggestion is that aneurysm surgery might not always be performed by the most highly qualified individuals at each institution.
A state-wide registry of aneurysm surgery would explain this variability and lead to greatly improved outcomes, as occurred when the cardiac surgery registry was put in place. When the cardiac surgery registry was introduced, surgeons and institutions with poor results stopped operating with a commensurate improvement in public health.
The volume of aneurysm surgery continues to fall as endovascular techniques proliferate, suggesting that aneurysm surgery should be centralized into high volume medical centers that can offer both quality endovascular treatment and open surgical approaches as necessary.
Less experienced surgeons should always be mentored by experienced aneurysm surgeons until their skill set is sufficient to achieve the high quality results that the public should expect.
The paper, Variability in Outcome After Elective Cerebral Aneurysm Repair in High-Volume Academic Medical Centers, is published online in the journal Stroke. Read the abstract here.
You have added pages to your clipboard. Please log in or create an account to share them or use later.
You are now being taken to Columbia Neurosurgery's site dedicated to the spine.
Use this button to save pages to your clipboard for future use.OK. Got it.